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76A998 CE6061059 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER47NEAREST
LDING
7'-
BUILDING AND SAFETY DIVISIONRESS a-3
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDINGALITY
FOR APPLICANT TO FILL IN IfPERMT FEES SS Sr
ITEM NUMBER I EACH FEE OWNER r 7 w�
OUTLETS $ $ MAIL ,/
LIGHTS RECEPT SW 1O ADDRESS (p
LIGHTING FIXTURES10 CITY TEL NO 9 41244
ELEC RANGES CLO DRYERS ELECTRICIA
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC HIP DIS�T CT NOGROUP ZONE CESSED BY
o— +i2 2s � l�—� 2�t
Iia— 2 50 INSP Mc RECOP6
2— 5 100
5- 15 150
15- 50 250
50-200 500 � B '2
NO TRANS
SIGNS NO LAMPS �r V '� � `/?V 7-
SERVICE D 600V 1 00 -OS +-
SERVICE OVER 600V 500
MISC
WIRING PERMIT 100 r
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE
TTE�mg.' UTILITYCO NOTIFIED moi(
FINAL
OrJ� ARTHUR C VEIT
CK MO SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
9840 -0 DEC 14 2 D 200 t